MOGOLLON TREATMENT CENTER
NPI: 1245908763
· PAYSON, AZ 85541
· 261QR0405X
$670K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
1,082 |
$67K |
| 2023 |
4,785 |
$310K |
| 2024 |
4,428 |
$293K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99223 |
Prolong inpt eval add15 m |
1,521 |
1,487 |
$212K |
| 99231 |
|
5,235 |
1,493 |
$178K |
| 99239 |
|
1,512 |
1,475 |
$126K |
| 99233 |
Prolong inpt eval add15 m |
1,434 |
1,402 |
$121K |
| 99232 |
|
487 |
397 |
$27K |
| S0215 |
Nonemerg transp mileage |
42 |
33 |
$4K |
| 99238 |
|
22 |
22 |
$1K |
| A0120 |
Noner transport mini-bus |
42 |
33 |
$153.77 |